Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $30.75 / $30.75	Facility		$30.75	$30.75	$30.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $30.75	Professional		$30.75	$30.75	$30.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $510.20 / $510.20 / $510.20	Facility		$510.20	$510.20	$510.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $23.41 / $38.61	Facility		$19.89	$23.41	$38.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $28.47 / $28.47	Professional		$28.47	$28.47	$28.47
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $70.61	Professional		$70.61	$70.61	$70.61
United Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $24.28 / $27.74	Professional		$24.28	$24.28	$27.74